Nursing homeActive
Montezuma Specialty Care
316 Meadow Lane Drive, Montezuma, IA 50171641219433041 certified beds · 30 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
5
since 2024
Deficiencies
13
● 0● 13● 0
Penalties · 3 yrs
—
none on file
Last survey
2026-04-23
Standard
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 3
Staffing 4
Quality 4
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Iowa Department of Inspections, Appeals & Licensing · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-04-23 | Standard | 040 | CMS-2567 (Care Compare) | — |
| 2025-04-10 | Standard | 000 | CMS-2567 (Care Compare) | — |
| 2024-10-03 | Complaint | 030 | CMS-2567 (Care Compare) | — |
| 2024-05-30 | Standard | 020 | CMS-2567 (Care Compare) | — |
| 2024-05-09 | Complaint | 040 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Iowa Department of Inspections, Appeals & Licensing publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-15Record 165295-20260423-F657
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-15Record 165295-20260423-F695
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-15Record 165295-20260423-F760
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-05-15Record 165295-20260423-F812
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-10-18Record 165295-20241003-F550
F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.Scope/severity EStandard
Records
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-10-18Record 165295-20241003-F835
F865Have a plan that describes the process for conducting QAPI and QAA activities.Scope/severity EStandard
Records
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-10-18Record 165295-20241003-F865
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-29Record 165295-20240530-F658
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-29Record 165295-20240530-F689
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-26Record 165295-20240509-F550
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-26Record 165295-20240509-F609
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-26Record 165295-20240509-F610
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-26Record 165295-20240509-F689
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.83
Facility
Iowa
National
Iowa 0.74 · National 0.69
Total nurse hours per resident day3.30
Facility
Iowa
National
Iowa 3.82 · National 3.86
Weekend total nurse hours3.08
Facility
Iowa
National
Iowa 3.37 · National 3.42
Total nursing staff turnover52%
Facility
Iowa
National
Iowa 44% · National 46%
Registered nurse turnover63%
Facility
Iowa
National
Iowa 42% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Iowa | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 0.0% | 4.2% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 4.3% | 3.8% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 27.4% | 19.5% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 3.6% | 2.4% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 13.3% | 17.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 4.3% | 4.6% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 34.7% | 20.8% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Care Initiatives Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Baedke, Charissa Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Gijima, Desire Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Huff, Mitchell Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Beal, Michael Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Beal, Michael Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Beal, Michael Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE | — | — |
| Bowen, Lane Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Carothers, Mary Jane Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Childs, Kevin Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Computershare Corporate Trust Company, Na Organization | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE | — | — |
| Computershare Corporate Trust Company, Na Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Corless, Peter Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Dixon, David Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Drake, Emily Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Gijima, Desire Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Gilyard, Tanya Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Huff, Mitchell Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Krein, Keith Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Kuhn, Jeramy Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Mcdyer, Jessica Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Rust, Elizabeth Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Sturm, Denise Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Upmeyer, Linda Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Volm, Johanna Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
Part of a chain
Care Initiatives — 43 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Iowa.
No county cost figures on file for Poweshiek.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Brooklyn Community Estates Brooklyn | 11.8 mi | 2026-05-28 | 010 |
| St Francis Manor Grinnell | 14.1 mi | 2026-05-14 | 010 |
| Mayflower Home Grinnell | 14.5 mi | 2026-04-09 | 060 |
| Northern Mahaska Specialty Care Oskaloosa | 19.4 mi | 2025-11-24 | 061 |
| Oskaloosa Care Center Oskaloosa | 20.7 mi | 2026-06-11 | 0312 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |